| NPI | 1174932693 |
|---|---|
| Doing Business As | TEXAS SOUTH FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STANTON C PACKARD Medical Director 713-660-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TX J6641) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |